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Stress related erectile dysfunction and premature ejaculation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am not able to satisfy my partner...what can i do to improve??please suggest
Doctor :   hi
Doctor :  
ok
User :   i come out early nowadays
Doctor :  
please describe your problem in detail
User :   while having sex,i come out early nowadays
Doctor :   ok
User :   i want to improve on this
Doctor :  
since when is this happening?
User :   please suggest me some good medicine or something
User :   from past one month
Doctor :  
please provide your age, location, occupation, height and curent weight.
User :   i smoke a lot
User :   i am 24,ghaziabad,5'11'' and arnd 65kgs
User :   is it because of smoking
Doctor :  
ok
Doctor :  
yes, smoking and alcohol can have such effects
User :   ok
Doctor :  
even over masturbation can lead to such problems
Doctor :  
i wil need to ask you few more questions. can i proceed?
User :   sure pls
Doctor :  
are you married?
User :   yes
Doctor :  
when did you get married?
User :   its been 3 yrs now
Doctor :  
ok
Doctor :  
do you masturbate?
Doctor :  
do you have night time erections?
User :   and my penis is also not reaching to its erection level as it use to be..
User :   no
Doctor :   do you have early morning erections?
User :   but yes i do have morning one
User :   and also i masturbate sometimes as i am sexually very active
Doctor :   is there any problem is achieving an erection?
User :   yes now its started
Doctor :   is there any problem in maintaining an erection?
User :   yes
Doctor :   ok
Doctor :  
is there family history of diabetes/hypertension/high cholesterol levels?
User :   no
Doctor :  
has your work/personal life become more stressed than usual?
User :   yes
Doctor :  
ok
Doctor :  
stress can also lead to erection problems and premature ejaculation
Doctor :  
managing your stress levels will help you to overcome this problem
User :   but i also want to satisfy my wife
Doctor :  
also there is a tecnique called 'start and stop" technique
User :   the pissing one
Doctor :  
which is advised for managing premature ejaculation
User :   ?
User :   the pissing technique
Doctor :  
usually erection time of 6 and half minutes is considered to be normal
User :   mine is lower than that now
User :   earlier it used to be more
Doctor :   yes the same tecnique, it is difficult to follow and the corect understanding of method has to be foolwed
Doctor :   ok
User :   please advice me
User :   i have been doing this technique from past 2-3days now
Doctor :  
try for the stress managing steps and see if the erection time improves
Doctor :  
follow correct method of this technique
Doctor :  
you will see good results
User :   what is that?
Doctor :  
in case this does not happen then you both will need to go for 'couple therapy'
User :   ok
User :   what is the correct method?
User :   of start and stop
Doctor :  
to follow the right method we need to first understand what the technque is
User :   ok
Doctor :  
in simple terms i will try to explain
User :   aha
Doctor :  
divide your entire sexual intercourse into parts or percentage with 0 being the start of erection and 100 being the ejaculation
User :   ok
Doctor :  
now concentrate on wht percentage you feel you should be coming out and nit able to control teh ejaculation
Doctor :  
this done
User :   k
Doctor :  
focus on when you reaching about 80% then stop the stimulation, go back to the foreplay or slow down
Doctor :  
such that you come back to 40-50% level
Doctor :  
and then satrt again
User :   k
Doctor :  
this wil help you to delay the ejaculation
User :   ok
Doctor :  
also before indulging into penetrative sex, go for more of foreplay which will satisfy your wife also in a better way
User :   can you suggest me some medicines or something for this
Doctor :  
have you followed what i have said?
User :   yes
Doctor :   medicines can be given after the exact cause is made out, that is after an examintaion
User :   ok
Doctor :  
and also these medicines have a lot of side effects to
User :   ohhk
Doctor :  
since in your case it is stress realted
Doctor :  
it can be managed without medicines
Doctor :  
by following stress management
User :   k
Doctor :  
like identifying the stress factors and avoiding or eliminating them
User :   ok
Doctor :  
and also following the technique
User :   i also masturbate sometimes
User :   so how much does that effect
Doctor :   and divert your mind with your favourite game or music to relieve stress
Doctor :  
mastrubating more then 14-15 times per week can affect in ejaculation and erection
Doctor :  
Is there any thing else I can help you with?
User :   no no not that much
User :   i masturbate arnd twice or thrice a week
Doctor :   ok
Doctor :  
Is there any thing else I can help you with?
User :   i will start following what you have told me.
Doctor :   ok
User :   thanks a ton for that but is there any medicine which i can use for time being
User :   to improve on ejaculation and erection
User :   pls suggest that would be really helpful
Doctor :  
Please fill the feedback form say done when done while i answer your next query
Doctor :  
ejaculation and erection problems unless organic do not need medicines, and the cause is made out after examination and investigations.
Doctor :  
the medicines that are used for these problems are prescriptions medicines
Doctor :  
these prescription medicines are given after the cause is exactly made out
User :   but still....
Doctor :   Since I havent physically examined you, it is inappropriate and unethical to prescribe you scheduled drugs.
User :   can i take viagra
Doctor :   Hence if you require medicine you will need to go for a urologist for examination and investigation
User :   ok
Doctor :  
viagra can be taken, but it results in unwanted side effects if cause is not organic, like in your case it is stres srelated
User :   ok
Doctor :  
so it can give you side effects of nausea vomiting, headache and worse of all prolonged erection not resolving even after ejaculation which will result in pain
Doctor :  
and sometimes even bleeding from penis
Doctor :  
so avoid taking such drugs on your own
Doctor :  
go for a consultation to find out the exact cause and then it will be prescribed in the right dose for your use
Doctor :  
have you followed what i have said?
User :   ok
User :   sure i'll
Doctor :  
Is there any thing else you want to ask me?

Doctor :  
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